Diane Bishop

Individual provider Active NPI Case Manager/Care Coordinator · Charlotte, NC

NPI 1104243963 · NPPES record last updated Mar 18, 2014

Key facts

NPI
1104243963
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3500 Ellington St
Charlotte, NC 28211-1102
Phone
(704) 353-0502
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3500 Ellington St
Charlotte, NC 28211-1102

Mailing address

3500 Ellington St
Charlotte, NC 28211-1102

Other providers in Charlotte, NC

All providers in Charlotte, NC · Case Manager/Care Coordinator in North Carolina

Sources for this page

Verify at the official NPI Registry.